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Patient-assessed outcomes after excision of acoustic neuroma: post-operative symptoms and quality of life

Patient-assessed outcomes after excision of acoustic neuroma: post-operative symptoms and quality of life
Patient-assessed outcomes after excision of acoustic neuroma: post-operative symptoms and quality of life
OBJECT. The aim of this study was to assess whether outcomes from excision of acoustic neuroma vary among patients and have a material impact on their quality of life (QOL).
METHODS. A questionnaire concerning postoperative symptoms and the Short Form 36 (SF-36) QOL instrument were mailed to 97 consecutive patients who had undergone acoustic neuroma surgery via the translabyrinthine approach. The survey response rate was 78% and the symptomatology was consistent with other reports, supporting the representativeness of the sample.
The respondents' QOL was rated significantly below published norms and their work capacity was reportedly reduced. Specifically, the following SF-36 dimensions were reduced: physical functioning and role-physical, together with vitality, general health, and social functioning. Greater numbers of postoperative symptoms and larger tumors were associated with a worse rating of physical functioning. More severe balance problems were associated with lower ratings of social functioning. The disparity between the patient's self-estimate and self-measurement and the clinician's assessment of the patient's facial functioning raises doubts about the validity of subjective reports and assessment.
CONCLUSIONS. The present study supports the use of generic QOL measures to assess outcome and to draw comparisons between different populations.
acoustic neuroma, quality of life, outcome
0022-3085
211-216
Martin, H.C.
9e1b402d-3ee3-4828-ac1b-7a026a46e5c4
Sethi, J.
0891e047-2a53-4a12-a4c5-28bd910d20c8
Lang, D.
e6abdf15-0d44-4e3e-a885-1d286bbfdf12
Neil-Dwyer, G.
19520fec-ecd3-436f-9420-b7bd776751c3
Lutman, M.E.
add34340-3241-4346-a668-8f51fdea6692
Yardley, L.J.
64be42c4-511d-484d-abaa-f8813452a22e
Martin, H.C.
9e1b402d-3ee3-4828-ac1b-7a026a46e5c4
Sethi, J.
0891e047-2a53-4a12-a4c5-28bd910d20c8
Lang, D.
e6abdf15-0d44-4e3e-a885-1d286bbfdf12
Neil-Dwyer, G.
19520fec-ecd3-436f-9420-b7bd776751c3
Lutman, M.E.
add34340-3241-4346-a668-8f51fdea6692
Yardley, L.J.
64be42c4-511d-484d-abaa-f8813452a22e

Martin, H.C., Sethi, J., Lang, D., Neil-Dwyer, G., Lutman, M.E. and Yardley, L.J. (2001) Patient-assessed outcomes after excision of acoustic neuroma: post-operative symptoms and quality of life. Journal of Neurosurgery, 94 (2), 211-216.

Record type: Article

Abstract

OBJECT. The aim of this study was to assess whether outcomes from excision of acoustic neuroma vary among patients and have a material impact on their quality of life (QOL).
METHODS. A questionnaire concerning postoperative symptoms and the Short Form 36 (SF-36) QOL instrument were mailed to 97 consecutive patients who had undergone acoustic neuroma surgery via the translabyrinthine approach. The survey response rate was 78% and the symptomatology was consistent with other reports, supporting the representativeness of the sample.
The respondents' QOL was rated significantly below published norms and their work capacity was reportedly reduced. Specifically, the following SF-36 dimensions were reduced: physical functioning and role-physical, together with vitality, general health, and social functioning. Greater numbers of postoperative symptoms and larger tumors were associated with a worse rating of physical functioning. More severe balance problems were associated with lower ratings of social functioning. The disparity between the patient's self-estimate and self-measurement and the clinician's assessment of the patient's facial functioning raises doubts about the validity of subjective reports and assessment.
CONCLUSIONS. The present study supports the use of generic QOL measures to assess outcome and to draw comparisons between different populations.

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More information

Published date: 2001
Keywords: acoustic neuroma, quality of life, outcome
Organisations: Human Sciences Group

Identifiers

Local EPrints ID: 10566
URI: http://eprints.soton.ac.uk/id/eprint/10566
ISSN: 0022-3085
PURE UUID: 507dbe1b-00bb-42e0-88bc-208a774658ca
ORCID for L.J. Yardley: ORCID iD orcid.org/0000-0002-3853-883X

Catalogue record

Date deposited: 14 Feb 2005
Last modified: 09 Jan 2022 02:58

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Contributors

Author: H.C. Martin
Author: J. Sethi
Author: D. Lang
Author: G. Neil-Dwyer
Author: M.E. Lutman
Author: L.J. Yardley ORCID iD

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